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A thoracoabdominal approach in revision of the hepatic hilum after left lobe living donor liver transplantation.

Abstract：

:We present an approach to safely expose the hepatic hilum for revision procedures after left lobe living donor liver transplantation. A 14-year-old adolescent girl who had undergone left lobe living donor liver transplantation experienced repeated episodes of cholangitis. Because treatment with interventional techniques failed, surgical revision was indicated. The right thoracoabdominal approach was selected to minimize dissection. Intraoperative findings showed adhesive kinking of the Roux-Y limb just distal to the bilioenteric anastomosis, and a side-to-side jejunojejunostomy was performed. The thoracoabdominal approach leads to easy and excellent reoperative exposure of the hilar site of a left lobe liver graft.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Honda M,Takeichi T,Ohya Y,Okumura K,Lee KJ,Yamamoto H,Asonuma K,Inomata Y

doi

10.1016/j.jpedsurg.2011.11.004

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

e13-6

issue

3

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(11)00966-3

journal_volume

47

pub_type

杂志文章

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